| Name: | Bama Heart Doc, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Mar 2011 (14 years ago) |
| Entity Number: | 000-007-887 |
| Register Number: | 000007887 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| Authorized Capital: | 100 @ $1.00 PV |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790057420 | 2012-01-26 | 2012-01-26 | 100 RICE MINE ROAD LOOP, SUITE 104, TUSCALOOSA, AL, 354062425, US | 100 RICE MINE ROAD LOOP, SUITE 104, TUSCALOOSA, AL, 354062425, US | |||||||||||||||
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| Phone | +1 205-342-2552 |
| Fax | 2053458365 |
Authorized person
| Name | GEORGE P HEMSTREET IV |
| Role | PHYSICIAN/OWNER |
| Phone | 2053422552 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HEMSTREET, GEORGE P IV | Agent | 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401 |
| Name | Role | Address |
|---|---|---|
| HEMSTREET, GEORGE P IV | Director | 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401 |
| Name | Role | Address |
|---|---|---|
| REILLY, JAMES C | Incorporator | 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
